Soy Isoflavones Extract Ingredients & Drug Interactions
by 21st Century
What is this page for?
First and foremost: checking Soy Isoflavones Extract against your medications. The heart of this page is the interaction checker and the full interaction report — how this product’s ingredients may interact with prescription and over-the-counter medicines you may be taking.
Around that, we add a pharmacist’s high-level view of the product as a whole — what’s inside, the evidence for its stated use, how transparent the label is, and what safety data exists — so you can see the full picture in one place. It’s educational information from our licensed clinical databases and the clinical staff at HelloPharmacist — not medical advice — and we don’t sell or endorse products. Our editorial policy
Soy Isoflavones Extract is a dietary supplement by 21st Century with 1 active ingredient. Its ingredients are commonly taken for menopause symptoms (hot flashes), heart and cholesterol health, bone health.Based on those ingredients, 611 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Soy Isoflavones Extract, Powder. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Soy Isoflavones Extract by 21st Century
Ask about any prescription or over-the-counter medication and we check it for interactions with Soy Isoflavones Extract by 21st Century — and tell you which ingredient is responsible.
AI summaries are generated from our interaction database for education only — always confirm with your pharmacist. How we use AI
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HelloPharmacist Scorecard of Soy Isoflavones Extract by 21st Century
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Full disclosure
This product contains one active ingredient: soy isoflavones extract, a concentrated powder derived from soy. The remaining ingredients — oat fiber, rice bran, cellulose, silicon dioxide, magnesium silicate, and magnesium stearate — are inactive fillers and binders that make up the capsule.
Does it work?
Moderate evidence
Soy isoflavones have possibly effective evidence for several uses. The research suggests they may help with blood sugar control in people with diabetes, help lower cholesterol (hyperlipidemia), support bone health in osteoporosis, modestly reduce high blood pressure, and help with diarrhea.
Keep in mind these ratings reflect what the evidence shows so far — they're not guarantees, and results vary from person to person.
How safe is it?
Well-documented data
Soy isoflavone supplements are generally well tolerated, though concentrated supplements warrant more caution than soy foods in a normal diet. The most common side effects reported with oral soy are bloating, constipation, diarrhea, and nausea.
Some people can have allergic reactions — skin rash, itching, and in rare cases more serious reactions. There's no established safety data on concentrated isoflavone supplements during pregnancy or breastfeeding; soy foods eaten normally while breastfeeding are fine, but high-dose supplements haven't been well studied.
Talk to your doctor or pharmacist about whether this product is right for you during pregnancy or while nursing.
Meds to double-check
Major interaction found
Before taking this product, check your medications against these types: monoamine oxidase inhibitors (MAOIs), blood pressure medications, blood thinners like warfarin, diabetes drugs, estrogen therapy, thyroid medications like levothyroxine, diuretics (water pills), and caffeine-containing products. All of these are documented to interact with soy isoflavones at varying levels of seriousness.
The bottom line
Scorecard at a glanceFully disclosed formula with some supporting evidence for its stated purpose. Major medication interactions have been identified, and safety information is well characterized.
This supplement works best for people managing diabetes, high cholesterol, bone health, or blood pressure — but only if they're not on an MAOI, blood thinner, thyroid medication, or blood pressure drugs without checking first. Anyone on prescription medications should run them through the checker below before starting.
If you're pregnant, nursing, or have a soy allergy, talk to your pharmacist.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 1 of 1 active ingredient matched to our full ingredient reviews (monographs). Based on the product label dated Jan 22, 2022.
This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed
General information
Key facts about Soy Isoflavones Extract, straight from the product label.
| Brand | 21st Century |
|---|---|
| Barcode (UPC) | 740985223062 |
| Net contents | 60 Vegetarian Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Jan 22, 2022 |
| DSLD ID | 258593 |
| Product type | Botanical |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Vegetarian, Adult Female (18 - 50 Years), Gluten Free |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Soy Isoflavones Extract by 21st Century, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Total Carbohydrate | 1 Gram(s) | 1% |
| Soy Isoflavones Extract, Powder | 100 mg | -- |
Other ingredients: Oat Fiber, Rice Bran, Cellulose, Silicon Dioxide, Magnesium Silicate, Magnesium Stearate
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Suggested/Recommended/Usage/Directions
Directions: As an herbal supplement, adults take two (2) capsules daily with any meal or as directed by a healthcare provider. Do not exceed recommended dosage.
Precautions
Do not exceed recommended dosage.
Warning: Consult a healthcare provider prior to use if pregnant, nursing, on medications, have a medical condition or are planning a medical procedure.
Stop use and contact a physician if adverse reactions occur.
Keep out of reach of children.
Do not use if product appears to be tampered with or seal is broken.
Contains soy.
General Statements
Individual results may vary.
Storage
Store at room temperature.
Formulation
No added sugar, salt, yeast, preservatives or artificial flavors.
100% Vegetarian.
Gluten free
FDA Disclaimer Statement
These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
Formula
Standardized Soy Isoflavones Extract
Women's Health Support
Soy Isoflavones support women’s health especially during midlife years.
FDA Statement of Identity
Herbal Supplement
Seals/Symbols
Guaranteed quality Laboratory tested
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Soy Isoflavones Extract by 21st Century label
The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.
Label images are published by the NIH Dietary Supplement Label Database for the version of this product on file. Always read your actual product label.
View the full label (PDF)The Ingredients in Soy Isoflavones Extract by 21st Century
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size2 Vegetarian Capsule(s) Dosage formCapsule Servings per container30 Amounts shown are per serving.
Soy Isoflavones Extract, Powder
Interacts with611 drugs
Soy is a nutritious bean that is a staple food and a popular source of plant protein and isoflavones. Eating soy foods as part of a balanced diet is g...
Soy Isoflavones Extract, Powder monograph & interactionsOther (inactive) ingredients: Oat Fiber, Rice Bran, Cellulose, Silicon Dioxide, Magnesium Silicate, Magnesium Stearate. These complete the product’s ingredient list but are not active constituents.
Soy Isoflavones Extract by 21st Century Drug Interactions
HelloPharmacist Interaction Report
21st Century Soy Isoflavones Extract contains a single active ingredient — soy isoflavone extract — that interacts with multiple medication types.
The most serious concern is with monoamine oxidase inhibitors (MAOIs), older antidepressants and blood pressure medications. Fermented soy products contain tyramine, a compound that can raise blood pressure dangerously when combined with MAOIs, potentially triggering a hypertensive crisis (a sudden, severe spike in blood pressure).
Read the full breakdown — every affected drug type, severity by severity
Moderate interactions exist with blood pressure medications (antihypertensives), as soy may lower blood pressure further and increase the risk of excessively low blood pressure. Soy can also lower blood sugar and may add to the effects of diabetes medications, potentially requiring dose adjustments.
Additionally, soy isoflavones may interfere with estrogen replacement therapy, reduce the effectiveness of the blood thinner warfarin, slow caffeine clearance, interact with diuretics (water pills), and reduce absorption of the thyroid medication levothyroxine.
No interactions are documented in our data for any other ingredients in this product. Altogether, these interactions span 607 individual medications.
Use the medication checker on this page to look up your specific prescriptions before you start this supplement.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Soy Isoflavones Extract?
Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.
Go to the checkerIngredients driving the most interactions
Individual Drug Interactions
The ingredients in Soy Isoflavones Extract interact with 611 drugs. Click any drug to see the details.
1 of the 1 ingredient in Soy Isoflavones Extract interact with drugs. Each result below shows which ingredient is responsible. Soy Isoflavones Extract, Powder
AmphetamineAdensys XR-ODT, Adzenys ER, Dyanavel XR, Mydayis
How Amphetamine interacts with Soy Isoflavones Extract — through 1 ingredient. Tap an ingredient for the detail:
Soy Isoflavones Extract, PowderMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soy Isoflavones Extract, Powder + Amphetamine interactionIsocarboxazidMarplan
How Isocarboxazid interacts with Soy Isoflavones Extract — through 1 ingredient. Tap an ingredient for the detail:
Soy Isoflavones Extract, PowderMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soy Isoflavones Extract, Powder + Isocarboxazid interactionMoclobemideManerix, Moclobemide
How Moclobemide interacts with Soy Isoflavones Extract — through 1 ingredient. Tap an ingredient for the detail:
Soy Isoflavones Extract, PowderMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soy Isoflavones Extract, Powder + Moclobemide interactionOzanimod HydrochlorideZeposia
How Ozanimod Hydrochloride interacts with Soy Isoflavones Extract — through 1 ingredient. Tap an ingredient for the detail:
Soy Isoflavones Extract, PowderMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soy Isoflavones Extract, Powder + Ozanimod Hydrochloride interactionPhenelzine SulfateNardil
How Phenelzine Sulfate interacts with Soy Isoflavones Extract — through 1 ingredient. Tap an ingredient for the detail:
Soy Isoflavones Extract, PowderMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soy Isoflavones Extract, Powder + Phenelzine Sulfate interactionRasagilineAzilect
How Rasagiline interacts with Soy Isoflavones Extract — through 1 ingredient. Tap an ingredient for the detail:
Soy Isoflavones Extract, PowderMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soy Isoflavones Extract, Powder + Rasagiline interactionSafinamide MesylateXadago
How Safinamide Mesylate interacts with Soy Isoflavones Extract — through 1 ingredient. Tap an ingredient for the detail:
Soy Isoflavones Extract, PowderMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soy Isoflavones Extract, Powder + Safinamide Mesylate interactionSelegilineCarbex, Eldepryl, Emsam, Zelapar
How Selegiline interacts with Soy Isoflavones Extract — through 1 ingredient. Tap an ingredient for the detail:
Soy Isoflavones Extract, PowderMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soy Isoflavones Extract, Powder + Selegiline interactionTranylcypromineParnate
How Tranylcypromine interacts with Soy Isoflavones Extract — through 1 ingredient. Tap an ingredient for the detail:
Soy Isoflavones Extract, PowderMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soy Isoflavones Extract, Powder + Tranylcypromine interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Soy Isoflavones Extract — through 1 ingredient. Tap an ingredient for the detail:
Soy Isoflavones Extract, PowderAntidiabetes Drugs Moderate
Interaction Summary
Soy can lower blood glucose and have additive effects with antidiabetes drugs.
Read the full Soy Isoflavones Extract, Powder + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with Soy Isoflavones Extract — through 1 ingredient. Tap an ingredient for the detail:
Soy Isoflavones Extract, PowderAntihypertensive Drugs Moderate
Interaction Summary
Theoretically soy protein may have additive effects with antihypertensive drugs and increase the risk of hypotension.
Read the full Soy Isoflavones Extract, Powder + Acebutolol interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Soy Isoflavones Extract — through 1 ingredient. Tap an ingredient for the detail:
Soy Isoflavones Extract, PowderCaffeine Moderate
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine.
Read the full Soy Isoflavones Extract, Powder + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with Soy Isoflavones Extract — through 1 ingredient. Tap an ingredient for the detail:
Soy Isoflavones Extract, PowderCaffeine Moderate
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine.
Read the full Soy Isoflavones Extract, Powder + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Soy Isoflavones Extract — through 1 ingredient. Tap an ingredient for the detail:
Soy Isoflavones Extract, PowderCaffeine Moderate
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine.
Read the full Soy Isoflavones Extract, Powder + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Soy Isoflavones Extract — through 1 ingredient. Tap an ingredient for the detail:
Soy Isoflavones Extract, PowderCaffeine Moderate
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine.
Read the full Soy Isoflavones Extract, Powder + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionAcetaminophen, Caffeine, CodeineGesic C15, Gesic C30, Gesic C8, Lenoltec 1, Lenoltec 2, Lenoltec 3 +1 more
How Acetaminophen, Caffeine, Codeine interacts with Soy Isoflavones Extract — through 1 ingredient. Tap an ingredient for the detail:
Soy Isoflavones Extract, PowderCaffeine Moderate
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine.
Read the full Soy Isoflavones Extract, Powder + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Soy Isoflavones Extract — through 1 ingredient. Tap an ingredient for the detail:
Soy Isoflavones Extract, PowderCaffeine Moderate
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine.
Read the full Soy Isoflavones Extract, Powder + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Soy Isoflavones Extract — through 1 ingredient. Tap an ingredient for the detail:
Soy Isoflavones Extract, PowderCaffeine Moderate
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine.
Read the full Soy Isoflavones Extract, Powder + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with Soy Isoflavones Extract — through 1 ingredient. Tap an ingredient for the detail:
Soy Isoflavones Extract, PowderCaffeine Moderate
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine.
Read the full Soy Isoflavones Extract, Powder + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with Soy Isoflavones Extract — through 1 ingredient. Tap an ingredient for the detail:
Soy Isoflavones Extract, PowderDiuretic Drugs, Caffeine Moderate
Interaction Summary
Theoretically, soy might have additive effects when used with diuretic drugs.
Read the full Soy Isoflavones Extract, Powder + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Pamabrom, PyrilamineMidol Max Strength PMS, Pamprin, Pamprin ES
How Acetaminophen, Pamabrom, Pyrilamine interacts with Soy Isoflavones Extract — through 1 ingredient. Tap an ingredient for the detail:
Soy Isoflavones Extract, PowderDiuretic Drugs Moderate
Interaction Summary
Theoretically, soy might have additive effects when used with diuretic drugs.
Read the full Soy Isoflavones Extract, Powder + Acetaminophen, Pamabrom, Pyrilamine interactionAcetazolamideAk-Zol, Diamox
How Acetazolamide interacts with Soy Isoflavones Extract — through 1 ingredient. Tap an ingredient for the detail:
Soy Isoflavones Extract, PowderDiuretic Drugs, Antihypertensive Drugs Moderate
Interaction Summary
Theoretically, soy might have additive effects when used with diuretic drugs.
Read the full Soy Isoflavones Extract, Powder + Acetazolamide interactionAcetohexamideDymelor
How Acetohexamide interacts with Soy Isoflavones Extract — through 1 ingredient. Tap an ingredient for the detail:
Soy Isoflavones Extract, PowderAntidiabetes Drugs Moderate
Interaction Summary
Soy can lower blood glucose and have additive effects with antidiabetes drugs.
Read the full Soy Isoflavones Extract, Powder + Acetohexamide interactionAlbiglutideTanzeum
How Albiglutide interacts with Soy Isoflavones Extract — through 1 ingredient. Tap an ingredient for the detail:
Soy Isoflavones Extract, PowderAntidiabetes Drugs Moderate
Interaction Summary
Soy can lower blood glucose and have additive effects with antidiabetes drugs.
Read the full Soy Isoflavones Extract, Powder + Albiglutide interactionAliskirenTekturna
How Aliskiren interacts with Soy Isoflavones Extract — through 1 ingredient. Tap an ingredient for the detail:
Soy Isoflavones Extract, PowderAntihypertensive Drugs Moderate
Interaction Summary
Theoretically soy protein may have additive effects with antihypertensive drugs and increase the risk of hypotension.
Read the full Soy Isoflavones Extract, Powder + Aliskiren interactionAlogliptinNesina
How Alogliptin interacts with Soy Isoflavones Extract — through 1 ingredient. Tap an ingredient for the detail:
Soy Isoflavones Extract, PowderAntidiabetes Drugs Moderate
Interaction Summary
Soy can lower blood glucose and have additive effects with antidiabetes drugs.
Read the full Soy Isoflavones Extract, Powder + Alogliptin interactionAlogliptin, MetforminKazano
How Alogliptin, Metformin interacts with Soy Isoflavones Extract — through 1 ingredient. Tap an ingredient for the detail:
Soy Isoflavones Extract, PowderAntidiabetes Drugs Moderate
Interaction Summary
Soy can lower blood glucose and have additive effects with antidiabetes drugs.
Read the full Soy Isoflavones Extract, Powder + Alogliptin, Metformin interactionAlogliptin, PioglitazoneOseni
How Alogliptin, Pioglitazone interacts with Soy Isoflavones Extract — through 1 ingredient. Tap an ingredient for the detail:
Soy Isoflavones Extract, PowderAntidiabetes Drugs Moderate
Interaction Summary
Soy can lower blood glucose and have additive effects with antidiabetes drugs.
Read the full Soy Isoflavones Extract, Powder + Alogliptin, Pioglitazone interactionAmbrisentanLetairis, Volibris
How Ambrisentan interacts with Soy Isoflavones Extract — through 1 ingredient. Tap an ingredient for the detail:
Soy Isoflavones Extract, PowderAntihypertensive Drugs Moderate
Interaction Summary
Theoretically soy protein may have additive effects with antihypertensive drugs and increase the risk of hypotension.
Read the full Soy Isoflavones Extract, Powder + Ambrisentan interactionAmilorideAmilamont, Midamor
How Amiloride interacts with Soy Isoflavones Extract — through 1 ingredient. Tap an ingredient for the detail:
Soy Isoflavones Extract, PowderAntihypertensive Drugs Moderate
Interaction Summary
Theoretically soy protein may have additive effects with antihypertensive drugs and increase the risk of hypotension.
Read the full Soy Isoflavones Extract, Powder + Amiloride interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Soy Isoflavones Extract with known interactions, here are the types of medications it can affect. Open any type for the detail — or search your exact drug in the checker above.
Soy Isoflavones Extract, Powder
Monoamine Oxidase Inhibitors (Maois)
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Fermented soy products such as tofu and soy sauce contain tyramine, a naturally occurring chemical that affects blood pressure regulation. The metabolism of tyramine is decreased by MAOIs. Consuming more than 6 mg of tyramine while taking an MAOI can increase the risk of hypertensive crisis. The amount of tyramine in fermented soy products is usually less than 0.6 mg per serving; however, there can be significant variation depending on the specific product used, storage conditions, and length of storage. Storing one brand of tofu for a week can increase tyramine content from 0.23 mg to 4.8 mg per serving. Advise patients taking MAOIs to avoid fermented soy products that contain high amounts of tyramine.
Antidiabetes Drugs
Soy can lower blood glucose and have additive effects with antidiabetes drugs.
Clinical research shows that whole soy diets and soy-based meals reduce fasting glucose levels in diabetic and non-diabetic individuals. Also, individuals following a soy-based meal replacement plan seem to require lower doses of sulfonylureas and metformin to manage blood glucose levels when compared with individuals following a diet plan recommended by the American Diabetes Association.
Antihypertensive Drugs
Theoretically soy protein may have additive effects with antihypertensive drugs and increase the risk of hypotension.
Although some contradictory research exists, most clinical evidence suggests that consuming soy protein modestly reduces systolic and diastolic blood pressure in individuals with prehypertension or hypertension.
Caffeine
Theoretically, soy might reduce the clearance of caffeine.
Soy contains genistein. Taking genistein 1 gram daily for 14 days seems to inhibit caffeine clearance and metabolism in healthy females. This effect has been attributed to inhibition of the cytochrome P450 1A2 (CYP1A2) enzyme, which is involved in caffeine metabolism. It is unclear if this effect occurs with the lower amounts of genistein found in soy.
Diuretic Drugs
Theoretically, soy might have additive effects when used with diuretic drugs.
Animal research suggests that genistein, a soy isoflavone, increases diuresis within 6 hours of subcutaneous administration in rats. The effects seem to be similar to those of furosemide. This effect has not been reported in humans.
Estrogens
Theoretically, soy might competitively inhibit the effects of estrogen replacement therapy.
Soy contains phytoestrogens and has been shown to have estrogenic activity in some patients. Although this has not been demonstrated in humans, theoretically, concomitant use of soy with estrogen replacement therapy might reduce the effects of the estrogen replacement therapy.
Levothyroxine (Synthroid, Others)
Soy products might reduce the absorption of levothyroxine in some patients.
Preliminary clinical research and a case report suggest that soy-based formulas inhibit the absorption of levothyroxine in infants with congenital hypothyroidism. A levothyroxine dosage increase may be needed for infants with congenital hypothyroidism while using soy-based formulas, and the dose may need to be reduced when soy-based formulas are no longer administered. However, in postmenopausal adults, clinical research shows that taking a single dose of soy extract containing isoflavones 60 mg along with levothyroxine does not affect the oral bioavailability of levothyroxine.
Progesterone
Theoretically, combining soy isoflavones with transdermal progesterone may worsen bone density.
Clinical research suggests that significant bone loss may occur in females with osteoporosis who receive a combination of transdermal progesterone with soy milk containing isoflavones when compared with placebo, soy milk alone, or progesterone alone.
Tamoxifen (Nolvadex)
Theoretically, estrogenic soy isoflavones might alter the effects of tamoxifen.
Laboratory research suggests that genistein and daidzen, isoflavones from soy, can antagonize the antitumor effects of tamoxifen under some circumstances; however, soy isoflavones might have different effects when used at different doses. A relatively low in vitro concentration of soy isoflavones such as 1 microM/L seems to interfere with tamoxifen, whereas high in vitro concentrations such as those >10 microM/L might actually enhance tamoxifen effects. People on a high-soy diet have soy isoflavones levels ranging from 0.1-6 microM/L. Until more is known, advise patients taking tamoxifen to avoid therapeutic use of soy products.
Warfarin (Coumadin)
Theoretically, soy might interfere with the effects of warfarin.
Soy milk has been reported to decrease the international normalized ratio (INR) in a patient taking warfarin. The mechanism of this interaction is not known. However, animal and in vitro research suggests that soy may also inhibit platelet aggregation. Dosing adjustments for warfarin may be necessary.
Antibiotic Drugs
Theoretically, antibiotics may decrease the activity of soy isoflavones.
Intestinal bacteria are responsible in part for converting soy isoflavones into their active forms. Antibiotics may decrease the amount of intestinal bacteria and decrease its ability to convert isoflavones.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Soy might modestly induce CYP2C9 enzymes. However, this effect does not seem to be clinically significant.
In vitro research suggests that an unhydrolyzed soy extract might induce CYP2C9. However, the significance of this interaction is likely minimal. In healthy females taking a specific extract of soy (Genistein Soy Complex, Source Naturals), blood levels of losartan, a CYP2C9 substrate, were not significantly affected.
Brand information
Manufacturer and brand details for Soy Isoflavones Extract, from the product label.
21st Century
See all 21st Century products- Name
- 21st Century HealthCare, Inc.
- Street Address
- 2119 S. Wilson St.
- City
- Tempe
- State
- AZ
- ZipCode
- 85282
- Web Address
- 21stcenturyvitamins.com
Soy Isoflavones Extract by 21st Century: Common Questions
Does Soy Isoflavones Extract by 21st Century interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
What are soy isoflavones?
Can I take this if I'm on blood pressure medication?
What side effects should I watch for?
Is this safe during pregnancy or breastfeeding?
Can this help my cholesterol?
Does this product have any fillers?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Soy Isoflavones Extract is safe with your meds?
Our pharmacists answer your medication & supplement questions — free.
Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind Soy Isoflavones Extract’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Soy Isoflavones Extract's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.
- NIH Dietary Supplement Label Database (DSLD) — The official product label on file for this supplement.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference behind the ingredient interaction data.
Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.
The 88 references behind this product’s interaction data
Every citation that drives the interaction findings for this product’s ingredients, from the evidence-graded Natural Medicines (TRC Healthcare) database. Open an ingredient to browse its citations — links open the study on PubMed or the publisher’s site.
Soy 88 references
- Franke AA, Custer LJ, Tanaka Y. Isoflavones in human breast milk and other biological fluids. Am J Clin Nutr 1998;68:1466-73. PubMed
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